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. 2020 Jul 22;126(19):4414–4422. doi: 10.1002/cncr.33098

Table 3.

Categories of Content on the Impact of COVID‐19 on Psychological Well‐Being

Category Definition Example
General anxiety Broad statements and descriptions of anxiety and worries that are not specified or described in detail “My anxiety levels tend to be quite high. I had felt like I had my anxiety under control, but this situation has thrown me off.”
Health anxiety Broad statements of worries about own health and hypochondria, including concerns about individuals' mental health and illness triggers “I worry that my current health problems will not be taken as seriously in the healthcare system as they were before.”
Loneliness Mentions of lacking support, feeling low and sad because of isolation, feelings of loneliness “Whereas I was isolated prior to the global lockdown, I was still able to have the physical support of my family given that they were healthy. I have now lost that, making navigating cancer treatment all the more lonely.”
Low mood Broader descriptions of low mood or morale, depression “Increased feelings of depression and overeating.”
Disruptions Refers to the impact on mental health and well‐being due to disruptions in daily living and activities “My biggest source of happiness was my job and not being able to see my students is heartbreaking.”
Death/dying Explicit mentions about dying and mortality “I am constantly worried that if I fall sick, I will end up dying considering my cancer history and weak immune system.”
Worry about COVID‐19: self Worries about how one's body would react to COVID‐19, worries about severe complications due to COVID‐19, including worries about receiving adequate care if one were to contract COVID‐19 “I am worried that if I caught it, I would be one of the ones that do not do well as I have had radiation to my spleen and still have low lymphocytes.”
Worry about COVID‐19: others Worries about close individuals or family members contracting the virus “Mostly worried about family/elder members of the family wanting to get outside more.”
Cancer care Changes and disruptions in cancer care, which are unfavorable; worry about continuing with care and going to the hospital, where many people are infected “I worry about what stage my cancer will be when they are finally able to do my surgery/treatment.”
Return to normal Concerns about how to return to normal, what normal will look like; worries about returning back to work “Going back to work eventually stresses me.”
Finance Direct financial impact from job loss or disruption; loss of insurance “I have lost my job, risk losing my insurance, and will be in active treatment until late summer.”

Abbreviation: COVID‐19, coronavirus disease 2019.